title: Electrocardiographic changes during inhalational oleander toxicity.
abstract: Inhalational oleander toxicity was considered in a family of 4 by history of exposure to smoke from burning oleander twigs. Electrocardiography revealed first- and second-degree atrioventricular block with digoxin-like ST-T-wave changes, suggestive of oleander toxicity in the absence of exposure to digoxin or other herbal medicines, and without systemic illness. Complete blood count, biometabolic profile, chest x-ray, and echocardiography did not reveal any abnormalities. Electrocardiographies normalized within 4 days when kept away from offending agents. Because oleander plant materials are used for burning, people are exposed to inhalational oleander toxicity. Hence, practitioners shall consider such poisonings in them.
authors.affiliation: Sri Gokulam Hospitals and Research Institute, Salem, India. maniansenthil@yahoo.co.in
authors.forename: Subramanian
authors.initials: S
authors.lastname: Senthilkumaran
authors.forename: Ramachandran
authors.initials: R
authors.lastname: Meenakshisundaram
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Michaels
authors.forename: Ponniah
authors.initials: P
authors.lastname: Thirumalaikolundusubramanian
mesh_terms: D000328:Adult; D054537:Atrioventricular Block / Q000139:chemically induced* / Q000503:physiopathology*; D002316:Cardiotonic Agents; D004077:Digoxin; D004562:Electrocardiography; D005260:Female; D006801:Humans; D019570:Inhalation Exposure; D030007:Nerium / Q000506:poisoning*; D012906:Smoke
chemical_list: D002316:Cardiotonic Agents; D012906:Smoke; D004077:Digoxin